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Enchanted Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Newark, New York
NPI 1215379078

Enchanted Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, NY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Enchanted Dialysis Llc practices in Newark, NY. The NPI Number for Enchanted Dialysis Llc is 1215379078 and holds a License No. (New York).

The current practice location address for Enchanted Dialysis Llc is 1120 S Main St, Newark, NY and can be reached out via phone at 315-331-6958 and via fax at 315-331-6521.

Location: 1120 S Main St, Newark, NY, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215379078
Provider Name
Enchanted Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1120 S Main St, Newark, NY, 37027-7569
Phone Number
315-331-6958
Fax Number
315-331-6521
Provider Enumeration Date
07/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03871836 05 NY
institution
Provider Business Practice Location Address Details
Address
1120 S Main St
City
Newark
State
New York
Zip
14513-2171
Phone Number
315-331-6958
Fax Number
315-331-6521
person
Provider Business Mailing Address Details
Address
1120 S Main St
City
Newark
State
New York
Zip
14513-2171
Phone Number
315-331-6958
Fax Number
315-331-6521
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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